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Table 9D: Patient Related Revenue

Minnesota Data

X

16 Awardees

Line Payer Category Charges Collections
Full Charges This Period (a)
$
% of Payer % of Total Amount Collected This Period (b)
$
% of Payer % of Total % of Charges
1. Medicaid Non-Managed Care $84,486,291 100.00% 41.88% $91,718,383 100.00% 73.03% 108.56%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $0 0.00% 0.00% $0 0.00% 0.00%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $84,486,291 100.00% 41.88% $91,718,383 100.00% 73.03% 108.56%
4. Medicare Non-Managed Care $25,793,104 100.00% 12.79% $11,349,037 100.00% 9.04% 44.00%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $0 0.00% 0.00% $0 0.00% 0.00%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $25,793,104 100.00% 12.79% $11,349,037 100.00% 9.04% 44.00%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $5,037,075 100.00% 2.50% $1,339,047 100.00% 1.07% 26.58%
8a. Other Public, including Non-Medicaid CHIP, Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
8b. Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) $0 0.00% 0.00% $0 0.00% 0.00%
9. Total Other Public (Sum of Lines 7 + 8a + 8b) $5,037,075 100.00% 2.50% $1,339,047 100.00% 1.07% 26.58%
10. Private Non-Managed Care $26,374,476 100.00% 13.07% $12,470,731 100.00% 9.93% 47.28%
11a. Private Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
11b. Private Managed Care (fee-for-service) $0 0.00% 0.00% $0 0.00% 0.00%
12. Total Private (Sum of Lines 10 + 11a + 11b) $26,374,476 100.00% 13.07% $12,470,731 100.00% 9.93% 47.28%
13. Self-Pay $60,053,709 100.00% 29.77% $8,708,143 100.00% 6.93% 14.50%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $201,744,655 100.00% $125,585,341 100.00% 62.25%
Line Payer Category Retroactive Settlements, Receipts, and Paybacks(c) Adjustments
Collection of Reconciliation
/Wraparound Current Year(c1)
$
Collection of Reconciliation
/Wraparound Previous Years(c2)
$
Collection of Other Payments: P4P, Risk Pools, etc.(c3)
$
Penalty/ Payback (c4)
$
Net Retros
$
Net Retros % of Charges Adjustments (d)
$
Adjustments % of Charges
1. Medicaid Non-Managed Care $586,284 $1,829,857 $146,446 $0 $2,562,587 3.03% ($3,586,342.00) -4.24%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $0 $0 $0 $0 $0 $0
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $586,284 $1,829,857 $146,446 $0 $2,562,587 3.03% ($3,586,342.00) -4.24%
4. Medicare Non-Managed Care $283,284 $184,142 $26,882 $0 $494,308 1.92% $12,501,004 48.47%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 $0
5b. Medicare Managed Care (fee-for-service) $0 $0 $0 $0 $0 $0
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $283,284 $184,142 $26,882 $0 $494,308 1.92% $12,501,004 48.47%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $2,840,623 56.39%
8a. Other Public, including Non-Medicaid CHIP, Managed Care (capitated) $0 $0 $0 $0 $0 $0
8b. Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) $0 $0 $0 $0 $0 $0
9. Total Other Public (Sum of Lines 7 + 8a + 8b) $0 $0 $0 $0 $0 0.00% $2,840,623 56.39%
10. Private Non-Managed Care $0 $19,220 ($19,220.00) -0.07% $10,671,259 40.46%
11a. Private Managed Care (capitated) $0 $0 $0 $0
11b. Private Managed Care (fee-for-service) $0 $0 $0 $0
12. Total Private (Sum of Lines 10 + 11a + 11b) $0 $19,220 ($19,220.00) -0.07% $10,671,259 40.46%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $869,568 $2,013,999 $173,328 $19,220 $3,037,675 1.51% $22,426,544 11.12%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $38,046,653 $4,192,457

Footnotes

'-' Data cannot be calculated or has been suppressed for confidentiality purposes.

Cells that are shaded blue represent data that was not reported or null values.

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